CN108630315A - The method of the risk score of eye disease for determining user and system for executing such method - Google Patents

The method of the risk score of eye disease for determining user and system for executing such method Download PDF

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CN108630315A
CN108630315A CN201810242541.3A CN201810242541A CN108630315A CN 108630315 A CN108630315 A CN 108630315A CN 201810242541 A CN201810242541 A CN 201810242541A CN 108630315 A CN108630315 A CN 108630315A
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user
eye
eyes
physiological parameter
parameter
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C·巴劳
T·维莱特
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EssilorLuxottica SA
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Essilor International Compagnie Generale dOptique SA
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/0016Operational features thereof
    • A61B3/0025Operational features thereof characterised by electronic signal processing, e.g. eye models
    • GPHYSICS
    • G16INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16HHEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/30ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for calculating health indices; for individual health risk assessment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/02Subjective types, i.e. testing apparatus requiring the active assistance of the patient
    • A61B3/06Subjective types, i.e. testing apparatus requiring the active assistance of the patient for testing light sensitivity, e.g. adaptation; for testing colour vision
    • A61B3/063Subjective types, i.e. testing apparatus requiring the active assistance of the patient for testing light sensitivity, e.g. adaptation; for testing colour vision for testing light sensitivity, i.e. adaptation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/02Subjective types, i.e. testing apparatus requiring the active assistance of the patient
    • A61B3/06Subjective types, i.e. testing apparatus requiring the active assistance of the patient for testing light sensitivity, e.g. adaptation; for testing colour vision
    • A61B3/066Subjective types, i.e. testing apparatus requiring the active assistance of the patient for testing light sensitivity, e.g. adaptation; for testing colour vision for testing colour vision
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/10Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • A61B3/11Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for measuring interpupillary distance or diameter of pupils
    • A61B3/112Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions for measuring interpupillary distance or diameter of pupils for measuring diameter of pupils
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B3/00Apparatus for testing the eyes; Instruments for examining the eyes
    • A61B3/10Objective types, i.e. instruments for examining the eyes independent of the patients' perceptions or reactions
    • A61B3/14Arrangements specially adapted for eye photography
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/16Devices for psychotechnics; Testing reaction times ; Devices for evaluating the psychological state
    • A61B5/161Flicker fusion testing
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/72Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7271Specific aspects of physiological measurement analysis
    • A61B5/7275Determining trends in physiological measurement data; Predicting development of a medical condition based on physiological measurements, e.g. determining a risk factor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2576/00Medical imaging apparatus involving image processing or analysis
    • A61B2576/02Medical imaging apparatus involving image processing or analysis specially adapted for a particular organ or body part

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Abstract

The present invention relates to it is a kind of by computer installation implement for determine user eye disease risk score method, the method includes:First eye adjusts physiological parameter and provides step (S10), in the step process, it provides and indicates that the first eye of the user adjusts consciousness or the first eye of behavior adjusts physiological parameter, second eyes adjust physiological parameter and provide step (S20), in the step process, it provides and indicates that the second eyes of the user adjust consciousness or the second eyes of behavior adjust physiological parameter, and risk score determines step (S30), in the step process, physiological parameter and second eyes adjusting physiological parameter are adjusted based on the first eye to determine the risk score of eye disease.

Description

The method of the risk score of eye disease for determining user and such for executing The system of method
Technical field
The present invention relates to a kind of methods of the risk score for the eye disease for determining user implemented by computer installation.
The invention further relates to it is a kind of for be determined user eye disease risk score method system, with And it a kind of is adapted to be performed in the system and wherein eye disease for being determined user in installation The program of the method for risk score.
Background technology
Some eye disease, such as age-related macular degeneration (" AMD ") lead to the irreversible blindness of people with eye disease.
For example, AMD is usually late diagnosed.Most of people with AMD do not know them with AMD until him Be diagnosed as late period.In addition, most of people with AMD are irreversible when diagnosing first time and significantly blind quick Acutance.It, can be with usage behavior correction, nutritional supplementation, light protection, anti-vascular endothelial growth factor (" VEGF ") for diagnostic personnel It treats to reduce the incidence for proceeding to irreversible visual deprivation.
Since some eye disease rapidly develop, it is therefore desirable to detect these eye disease early.Detecting eye disease early can be And early treatment provides chance, and provide better possibility for visual outcome.
With the most common approach for diagnosing AMD it is visual acuity for assessing retinal function.However, acuity test letter It is single and quick, do not have to provide the information about early stage AMD retinal function, because visual acuity caused by early stage AMD changes It cannot be detected.
Therefore, early stage eye disease, such as AMD can not be detected in daily life and conventional eye test.
Therefore, it is necessary to it is a kind of for determine early stage eye disease, more accurately be used to assess the functional variation of early stage eye disease with The method for more preferably monitoring its progress.
It is an object of the present invention to provide such methods.
Invention content
For this purpose, the present invention proposes a kind of risk score for the eye disease for determining user implemented by computer installation Method, the method includes:
First eye adjusts physiological parameter and provides step, in the step process, provides the of the instruction user One eyes adjust consciousness or the first eye of behavior adjusts physiological parameter,
- the second eyes adjust physiological parameter and provide step, in the step process, provide the of the instruction user Two eyes adjust consciousness or the second eyes of behavior adjust physiological parameter, and
Risk score determines step, and in the step process, physiological parameter and described is adjusted based on the first eye Second eyes adjust physiological parameter to determine the risk score of eye disease.
Advantageously, the method for the present invention allows the early stage risk score for calculating eye disease based on multiple parameters.It is more accurate Ground, method of the invention allow to detect the first functional signal of early stage eye disease based on different parameters to establish correlation and can Newer risk score.
According to embodiment, the method according to the present invention for providing one group of data may further include below according to appoint It is one or several in the feature what may be combined:
The first eye adjusting physiological parameter is related to the dark adaptation of at least one eye eyeball of the user, and Wherein, second eyes adjust pupillary light reflex and/or the institute of physiological parameter and at least one eye eyeball of the user The flash of light susceptibility for stating at least one eye eyeball of user is related;And/or
By at least one test selected in following test inventory physiology is adjusted in the first eye to determine Parameter provides the first eye provided in step process and adjusts physiological parameter, and/or adjust physiology in second eyes Parameter provides second eyes provided in step process and adjusts physiological parameter, and the test inventory is made up of:
The determination of transient state pupillary reaction;
Shrink preclinical determination;
The determination of shrinkage amplitude;
The determination of state after illumination;
The determination of pupil diameter after light shift;
The determination of interim pupillary reaction;
The determination that rod cell about dark adaptation restores;
The determination that cone cell about dark adaptation restores;
The determination of flashlight detection threshold value;And/or
The method further includes:Third eyes adjust physiological parameter offer step and are carried in the step process For indicating that the third eyes of the user adjust consciousness or the third eyes adjusting physiological parameter of behavior, wherein described in consideration Third eyes adjust physiological parameter to determine the risk score of eye disease;And/or
The third eyes adjust physiological parameter to it is following related:The photaesthesia of at least one eye eyeball of the user At least one eye eyeball of the color sensitivity, and/or the user of degree, and/or at least one eye eyeball of the user The dazzle recovery of contrast sensitivity, and/or at least one eye eyeball of the user, and/or at least the one of the user The visual acuity of the shape distortion susceptibility of eyes, and/or at least one eye eyeball of the user, and/or described make The macular pigment of the space contrast degree susceptibility of at least one eye eyeball of user, and/or at least one eye eyeball of the user Density;And/or
By at least one test selected from following test inventory physiology ginseng is adjusted in the third eyes to determine Number provides the third eyes provided in step process and adjusts physiological parameter, and the test inventory is made up of:
The determination of visual acuity;
The determination of lightsensitivity threshold value;
The determination of cone cell contrast threshold;
Determination about the cone cell recovery that dazzle restores;And/or
The method further includes:Life overview (life profile) data providing step, in the step process In, provide the life profile data of at least one parameter of the life overview about user, wherein consider the life overview Data determine the risk score of eye disease;And/or
The life profile parameters of the user to it is following related:The age of the user, and/or described make The personal situation of the professional background, and/or the user of the gender of user, and/or the user, and/or the use The health history of the ordinary circumstance, and/or the user of the life area of person, and/or the user, and/or the use Family's health history of person, and/or the body movement of the eating habit of the user, and/or the user custom, and/or The rhythm of life of the user;And/or
The method further includes:Environmental parameter provides step, is provided in the step process and indicates the use The environmental parameter of the environment of person, wherein consider the environmental parameter to determine the risk score of eye disease;And/or
The light that light exposure, and/or the user of the environmental parameter of the user with the user receive Radiation and/or spectral emissions and/or spatial distribution and/or exposure history are related;And/or
The method further includes:Eye imaging parameter provides step, in the step process, provides instruction institute State the eye imaging parameter of the eye imaging of at least one eye eyeball of user, wherein it is true to consider that the eye imaging parameter is come Determine the risk score of eye disease;And/or
The eye imaging parameter is at least related to the feature of glass-film wart of the eyes of wearer, and the feature includes At least one of the position of the size and shape of glass-film wart, the gross area of glass-film wart and glass-film wart;And/or
The method further includes:Step is updated, in the step process, the first eye is updated and adjusts life Manage that parameter, and/or second eyes adjust physiological parameter, and/or the third eyes adjust physiological parameter, and/or described Profile data of living, and/or the environmental data, and/or the eye imaging parameter, wherein consider the updated number According to determining the risk score of eye disease.
Advantageously, the method for the present invention allows the early stage risk score for updating eye disease based on multiple parameters.In other words, The method of the present invention allows to provide accurate and updated risk score value to user.
Advantageously, the method for the present invention allow to help user recognize influence of the different parameters to its risk score, And user is allowed to change its custom or reinforce some behaviors or custom on the contrary.
The invention further relates to a kind of for executing the risk for determining the eye disease of user point according to the present invention The system of several methods.
The invention further relates to a kind of program, described program be adapted to be mounted in a system of the invention and It is wherein performed for executing the method according to the present invention for determining the risk score of the eye disease of user.
The invention further relates to a kind of system for determining the risk score of the eye disease of user, the system packets It includes:
First eye adjusts physiological parameter and provides device, indicates that the first eye adjusting of the user is known for providing Feel or the first eye of behavior adjust physiological parameter,
- the second eyes adjust physiological parameter and provide device, indicate that the second eyes adjusting of the user is known for providing Feel or the second eyes of behavior adjust physiological parameter, and
Risk score determining device, for adjusting physiological parameter and second eyes adjusting based on the first eye Physiological parameter determines the risk score of eye disease.
The invention further relates to a kind of computer program product, the computer program product is deposited including one or more The instruction sequence of storage, described instruction are that processor is addressable and cause the processor when being executed by the processor The step of implementing according to the method for the present invention.
The invention further relates to it is a kind of for determine user eye disease risk score system, the system comprises Processor, the processor are adapted to store one or more instruction sequences and the step of implementation according to the method for the present invention At least one of rapid step.
The invention further relates to the computer readable storage mediums that a kind of above-noted has program;Wherein, described program Computer is set to execute steps of a method in accordance with the invention.
Description of the drawings
Other features and advantages of the present invention will be not limited to provide with reference to attached drawing from claim and below by way of example Some embodiments description in become apparent:
- Fig. 1 is the stream according to the present invention for determining the different step of the method for the risk score of the eye disease of user Cheng Tu.
Specific implementation mode
The present invention relates to a kind of risk scores for the eye disease for determining user for example implemented by computer installation Method.
For example, the method allows the risk score for determining age-related macular degeneration.
Fig. 1 illustrates according to the present invention for determining the different step of the method for the risk score of the eye disease of user Flow chart.
Physiological parameter offer step (S10) is adjusted the method includes first eye and the second eyes adjust physiological parameter and carry For step (S20).
During first eye adjusts physiological parameter and provides step (S10), the first eye tune of instruction user is provided The first eye for saving consciousness or behavior adjusts physiological parameter.
First eye adjusts physiological parameter may be related to the dark adaptation of at least one eye eyeball of user.
During the second eyes adjust physiological parameter and provide step (S20), the second eyes tune of instruction user is provided The second eyes for saving consciousness or behavior adjust physiological parameter.
Second eyes adjust physiological parameter may with the pupillary light reflex of at least one eye eyeball of user, and/or make The flash of light susceptibility of at least one eye eyeball of user is related.
It can be carried by least one test to determine to adjust during physiological parameter provides step (S10) in first eye The first eye of confession adjusts physiological parameter.It is also possible to adjust physiology ginseng in the second eyes by least one test to determine Number provides the second eyes provided during step (S20) and adjusts physiological parameter.
For determining that the test of the first and/or second eyes adjusting physiological parameter can select in following test inventory, The test inventory is made of the following terms:The determination of transient state pupillary reaction;Shrink preclinical determination;Shrinkage amplitude is really It is fixed;The determination of state after illumination;The determination of pupil diameter after light shift;The determination of interim pupillary reaction;About dark adaptation Rod cell restore determination;The determination that cone cell about dark adaptation restores;The determination of flashlight detection threshold value.
The measurement that the rod cell about dark adaptation restores or the cone cell about dark adaptation restores can be used true Determine dark adaptation.This test is repeatable and has good diagnosis capability.
The test of the dark adaptation of at least one eye eyeball for determining user can carry out under low light level.
It can use about for example in the excitation of the sinusoidal light of about 480nm (i.e. in inherently photosensitive retinal ganglial cells Under the high excitation of (" ipRGC ")) and in the sinusoidal light excitation of about 630nm or about sinusoidal light stimulation (such as 11.9 seconds sines Stimulation) pupil record and determine pupillary light reflex.Pupillary light reflex can be determined before illumination and after illumination.It can To determine pupillary light reflex during different stimulus durations.Can be used below and higher than blackout element threshold value multifocal pupil Hole is traced or irradiation level determines pupillary light reflex, with detect rod cell function and cone cell function defect and The defect of ipRGC functions.This test is quick, objective, Noninvasive and repeatable.
Flash of light susceptibility can be determined using flash stimulation.This test quickly (for example, about 4 to 7 minutes), can weigh Again, it is clinically applicable in and there is good diagnosis capability.
It can be static parameter or dynamic parameter that first and second eyes, which adjust physiological parameter,.In addition, first and second One in eyeball adjusting physiological parameter can be static parameter, and the first and second eyes adjust another in physiology ginseng It can be dynamic parameter.
The method includes:Risk score determines step (S30), in the step process, is adjusted based on first eye Physiological parameter and the second eyes adjust physiological parameter to determine the risk score of eye disease.
Advantageously, determining that the risk score of eye disease allows the detection early for improving eye disease based on multiple parameters.
The risk score of eye disease can be determined based on the combination of static parameter and dynamic parameter.
The method may include:Third eyes adjust physiological parameter and provide step (S22), in the step process, The third eyes for providing instruction user adjust consciousness or the third eyes of behavior adjust physiological parameter.
Third eyes adjust physiological parameter may to it is following related:The lightsensitivity of at least one eye eyeball of user and/ Or at least one eye eyeball of the color sensitivity, and/or user of at least one eye eyeball of user contrast sensitivity, And/or the oxyopia of at least one eye eyeball of the shape distortion susceptibility, and/or user of at least one eye eyeball of user The Huang of at least one eye eyeball of the space contrast degree susceptibility, and/or user of degree, and/or at least one eye eyeball of user Spot pigment density.
Third eyes adjust physiological parameter may be at least one eye eyeball of user dazzle recovery, and/or user At least one eye eyeball photostress restore.
Third eyes adjust physiological parameter may to it is following related:The color function of at least one eye eyeball of user and/ Or the low contrast oxyopia of at least one eye eyeball of the visual distortion, and/or user of at least one eye eyeball of user Degree.
It can be carried by least one test to determine to adjust during physiological parameter provides step (S22) in third eyes The third eyes of confession adjust physiological parameter.
It can be selected in the test inventory being made of the following terms for determining that three eyes adjust testing for physiological parameter:Depending on Feel the determination of acuity;The determination of lightsensitivity threshold value;The determination of cone cell contrast threshold;The cone restored about dazzle The determination that cell restores.
For determining that the test inventory of third eyes adjusting physiological parameter may include the determination of color sensitivity threshold value.This A test quickly and readily uses.
For determining that test inventory that third eyes adjust physiological parameter may include the determination and/or dizzy of photostress recovery The determination that light restores.These tests quickly and readily use.
It can be with for example from 50 lux steps of 0 to 1000 lux or from 1000 luxs to 2000 luxs It 100 lux steps or strangles from 200 lux steps of 2000 luxs to 4000 luxs or from 4000 to 8000 Gram this 400 lux steps, per step 10 seconds during dynamic autoization light sequence determination light sensitivity threshold value.It can be random Light sensitivity threshold value is determined during fixed lighting level sequence.It can use for gradually activating the portable and uniform of photochromic lens Lighting ball determines light sensitivity threshold value using ultraviolet light (" UV ") light emitting diode (" LED ").It can use from for example The natural white light of 4000K determines light sensitivity threshold to the correlated colour temperature (" CCT ") for the perishing white light for being greater than 6500K Value.This test is easy to implement and is clinically applicable in.
Contrast sensitivity can be determined using cone cell contrast threshold.
It can be tested using Amsler grid (Amsler grid) to determine visual distortion.
It can be static parameter or dynamic parameter that third eyes, which adjust physiological parameter,.
It is contemplated that third eyes adjust physiological parameter to determine the risk score of eye disease.
The method may include:Live profile data provide step (S24), in the step process, provide about The life profile data of at least one parameter of the life overview of user.
The life profile parameters of user can to it is following related:The age of user, and/or the gender of user and/ Or professional background, and/or the personal situation of user, and/or life area, and/or the user of user of user The body movement of ordinary circumstance, and/or user are accustomed to.
The life profile parameters of user can be related to the health history of user, for example, it is related to photosensitive treatment or with The cataract operation of at least one eye eyeball of user is related.
The life profile parameters of user can be related to the race of user.
The life profile parameters of user can be related to family's health history of user, for example, user parent whether With eye disease, such as AMD.The life profile parameters of user can be with the genetic correlation of user.
The life profile parameters of user can to it is following related:The eating habit of user, and/or the life of user Rhythm, such as whether user smokes or the diet of user.
The life profile parameters of user can to it is following related:Oxidative stress source (as smoking is handled), antioxidant are few Diet, light processing or photosensitive processing.
The life profile parameters of user can to it is following related:Safeguard measure used in user, i.e., whether user Use sunglasses or cap.
The life profile parameters of user can be determined by questionnaire survey.
It is contemplated that living profile parameters to determine the risk score of eye disease.
The method may include:Environmental parameter provides step (S26), and instruction user is provided in the step process Environment environmental parameter.
The radiation for the light that the environmental parameter of user can be received with the exposure of the light of user, and/or by user and/ Or spectral emissions and/or spatial distribution and/or exposure history it is related.
The radiation of the quantity of light source and/or the spatial distribution and/or light source of the positioning of light source and/or light source can be passed through The spatial distribution and/or the length of exposure of user of (directionality for including light) and/or light source and/or the exposure of user The association of number of repetition exposes to limit the light of user.
It includes spectrometer and/or color photoelectric diode (such as UV, blue, green, red and infrared (" IR ") light that can use Electric diode) connection glasses come determine use light exposure.
The risk score of eye disease can be determined by considering environmental parameter.
The method may include:Eye imaging parameter provides step (S28) and provides instruction in the step process The eye imaging parameter of the eye imaging of at least one eye eyeball of user.
Eye imaging parameter can be at least related to the feature of glass-film wart of the eyes of wearer.The eyes of wearer The feature of glass-film wart may include the size and shape of glass-film wart, the gross area of glass-film wart and glass-film wart position At least one of set.
The feature of the glass-film wart of the eyes of wearer may include the type of glass-film wart, such as big when glass-film wart It is rigid glass-film wart when being less than 63 μm, is medium soft when the size of glass-film wart is included between 63 μm and 125 μm Glass-film wart, and be half big solidity glass-film wart when the size of glass-film wart is more than 125 μm.
Eye imaging parameter can be at least the one of the pigment anomaly of at least one eye eyeball of user, and/or user The choroidal neovascularization of the geographic atrophy of eyes, and/or at least one eye eyeball of user is related.
It is contemplated that eye imaging parameter determines the risk score of eye disease.
Specifically, age related eye diseases research risk (" AREDS ") can be based only upon eye imaging parameter.For example, AREDS may include the score between 1 and 4.Score 1 correspond to user at least one eye eyeball in there is no glass-film wart, Or the size of glass-film wart is less than 63 μm, and the gross area of glass-film wart is less than 125 μm.Score 2 corresponds to no map Shape atrophy, and the size of glass-film wart be greater than or equal to 63 μm and be less than 125 μm, and the gross area of glass-film wart be more than or Equal to 125 μm.Score 3a corresponds to soft apparent glass-film wart, and the size of glass-film wart is more than or equal to 63 μm and small In 125 μm, and the gross area of glass-film wart is more than 360 μm.Score 3b corresponds to soft fuzzy glass-film wart, and glass The size of film wart is greater than or equal to 63 μm and is less than 125 μm, and the gross area of glass-film wart is more than 656 μm.Score 4 is accordingly The atrophy of figure shape or choroidal neovascularization and the visual acuity less than 20/32.
The method may further include update step (S40).
During updating step (S40), update first eye adjusts physiological parameter, and/or the second eyes adjust life Manage parameter, and/or third eyes adjust physiological parameter, and/or life profile data, and/or environmental data, and/or eyes at As parameter.
It is contemplated that updated data determine the risk score of eye disease.
Advantageously, the risk score of the eye disease of more new user allows to provide accurate and updated risk to user Fractional value.More accurately, this update allows that user is helped to recognize influence of the different parameters to its risk score and allows User changes its custom or reinforces some behaviors or custom on the contrary.
Can according to the activity of user, and/or user, and/or user target to be achieved and performance, and/or The doctor of user, and/or the position of user carry out personalized first eye and adjust physiological parameter, and/or the adjusting of the second eyes Physiological parameter, and/or third eyes adjust physiological parameter and/or life profile data, and/or environmental data, and/or eyes at As parameter.
The invention further relates to a kind of risks for executing the eye disease for determining user as previously described The system of the method for score.
The system may include sensor or one or more sensors, and physiology ginseng is adjusted for measuring first eye Number, and/or the second eyes adjust physiological parameter, and/or third eyes adjust physiological parameter and/or environmental data, and/or eyes Imaging parameters.
After the risk score for the eye disease for determining user, the system can swash according to identified risk score Specific function living.For example, specific function to be activated can be in home automation or the automation of vehicle or user's medical treatment The alarm trigger of the heart.
The present invention is described by means of embodiment above, and is not intended to limit present general inventive concept.Moreover, the present invention Embodiment can be combined to no any restrictions.
For those skilled in the art with reference to embodiments illustrated above, it is also proposed that many other modifications And variation, these embodiments only provide by way of example, it is not intended to limit the scope of the invention, the scope of the present invention is only by appended power Profit requires to determine.
In the claims, other element or steps, and indefinite article " one (a) " is not precluded in word " comprising " Or plural number is not precluded in " one (an) ".It is simple that different features is described this in mutually different dependent claims The fact is not offered as that the combination of these features cannot be used to advantage.Any reference numeral in claim shall not be solved It is interpreted as limiting the scope of the invention.

Claims (15)

1. a kind of method of the risk score for the eye disease for determining user implemented by computer installation, the method packet It includes:
First eye adjusts physiological parameter and provides step (S10), in the step process, provides the instruction user's First eye adjusts consciousness or the first eye of behavior adjusts physiological parameter,
- the second eyes adjust physiological parameter and provide step (S20), in the step process, provide the instruction user's Second eyes adjust consciousness or the second eyes of behavior adjust physiological parameter, and
Risk score determines step (S30), and in the step process, physiological parameter and institute are adjusted based on the first eye It states the second eyes and adjusts physiological parameter to determine the risk score of eye disease.
2. according to the method described in claim 1, wherein, the first eye adjusts physiological parameter and the user at least The dark adaptation of one eye eyeball is related, and wherein, and second eyes adjust at least one of physiological parameter and the user The flash of light susceptibility of the pupillary light reflex of eyes and/or at least one eye eyeball of the user is related.
3. method according to claim 1 or 2, wherein pass through at least one survey selected in following test inventory It tries to determine that adjusting physiological parameter in the first eye provides the first eye provided in step process adjusting physiology ginseng Number, and/or second eyes provided in second eyes adjusting physiological parameter offer step process adjust physiology ginseng Number, the test inventory are made up of:
The determination of transient state pupillary reaction;
Shrink preclinical determination;
The determination of shrinkage amplitude;
The determination of state after illumination;
The determination of pupil diameter after light shift;
The determination of interim pupillary reaction;
The determination that rod cell about dark adaptation restores;
The determination that cone cell about dark adaptation restores;
The determination of flashlight detection threshold value.
4. method according to any one of the preceding claims, further comprises:
Third eyes adjust physiological parameter and provide step (S22), in the step process, provide the instruction user's Third eyes adjust consciousness or the third eyes of behavior adjust physiological parameter,
Wherein, consider that the third eyes adjust physiological parameter to determine the risk score of eye disease.
5. according to the method described in claim 4, wherein, the third eyes adjust physiological parameter to it is following related:It is described to make The color sensitivity of the lightsensitivity of at least one eye eyeball of user, and/or at least one eye eyeball of the user, and/or The dazzle of the contrast sensitivity of at least one eye eyeball of the user, and/or at least one eye eyeball of the user is extensive The shape distortion susceptibility of at least one eye eyeball of the multiple, and/or described user, and/or at least one eye of the user The space contrast degree susceptibility of at least one eye eyeball of the visual acuity of eyeball, and/or the user, and/or the use The macular pigment optical density of at least one eye eyeball of person.
6. method according to claim 4 or 5, wherein pass through at least one test selected from following test inventory The third eyes adjusting physiological parameter provided in physiological parameter offer step process is adjusted in the third eyes to determine, The test inventory is made up of:
The determination of visual acuity;
The determination of lightsensitivity threshold value;
The determination of cone cell contrast threshold;
Determination about the cone cell recovery that dazzle restores.
7. method according to any one of the preceding claims, further comprises:
Life profile data provides step (S24) and is provided and the life overview of the user in the step process At least one relevant life profile data of parameter,
Wherein, the life profile data is considered to determine the risk score of eye disease.
8. according to the method described in claim 7, wherein, the life profile parameters of the user to it is following related:Institute State the age of user, and/or the professional background, and/or the use of the gender of the user, and/or the user The ordinary circumstance of the personal situation of person, and/or the life area of the user, and/or the user, and/or described make The eating habit of the family's health history, and/or the user of the health history of user, and/or the user, and/or described The body movement of user is accustomed to, and/or the rhythm of life of the user.
9. method according to any one of the preceding claims, further comprises:
Environmental parameter provides step (S26), and the environment ginseng for indicating the environment of the user is provided in the step process Number,
Wherein, the environmental parameter is considered to determine the risk score of eye disease.
10. according to the method described in claim 9, wherein, the light exposure of the environmental parameter of the user and the user, And/or the radiation of light that receives of the user and/or spectral emissions and/or spatial distribution and/or exposure history it is related.
11. method according to any one of the preceding claims, further comprises:
Eye imaging parameter provides step (S28), in the step process, provides at least one of the instruction user The eye imaging parameter of the eye imaging of eyes,
Wherein, the eye imaging parameter is considered to determine the risk score of eye disease.
12. according to the method for claim 11, wherein glass of the eye imaging parameter at least with the eyes of wearer The feature of film wart is related, and the feature includes the size and shape of glass-film wart, the gross area of glass-film wart and glass-film wart At least one of position.
13. method according to any one of the preceding claims, further comprises:
Step (S40) is updated, in the step process, the first eye is updated and adjusts physiological parameter, and/or described the Two eyes adjust physiological parameter, and/or the third eyes adjust physiological parameter, and/or the life profile data, and/or The environmental data, and/or the eye imaging parameter,
Wherein, the updated data are considered to determine the risk score of eye disease.
14. a kind of for executing the risk according to any one of claim 1 to 13 for determining the eye disease of user The system of the method for score.
15. a kind of program, described program is adapted in the system described in claim 14 that is installed in and at it In be performed and carry out the risk score according to any one of claim 1 to 13 for determining the eye disease of user Method.
CN201810242541.3A 2017-03-23 2018-03-23 The method of the risk score of eye disease for determining user and system for executing such method Pending CN108630315A (en)

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